结扎瘘管并结扎左主干动脉以治疗双侧巨大冠状动脉瘘相关动脉瘤。

Fistulae ligation and left main artery ligation for a bilateral giant coronary arterial fistulae-related aneurysm.

机构信息

Division of Cardiology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, Taiwan, Republic of China.

Department of Cardiothoracic and Vascular Surgery, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, Taiwan, Republic of China.

出版信息

Eur J Cardiothorac Surg. 2019 Apr 1;55(4):798-799. doi: 10.1093/ejcts/ezy287.

DOI:10.1093/ejcts/ezy287

PMID:30165512

Abstract

Bilateral congenital coronary artery fistulae complicated with a giant coronary artery aneurysm is a very rare condition. A coronary artery aneurysm is a coronary artery dilatation that exceeds the diameter of normal adjacent segments or the diameter of the patient's largest coronary vessel by 1.5 times. The complications associated with a coronary artery aneurysm include thrombosis, embolization, rupture, vasospasm, congestive heart failure and infectious endocarditis. We report on a 63-year-old woman presenting with severe heart failure related to bilateral coronary artery fistulae. A giant coronary aneurysm was noted in the right coronary artery, and a tortuous coronary artery fistula was noted in the left coronary artery. Symptoms were relieved after surgical intervention for bilateral coronary artery fistulae.

摘要

双侧先天性冠状动脉瘘合并巨大冠状动脉瘤非常罕见。冠状动脉瘤是指冠状动脉扩张，超过正常相邻节段或患者最大冠状动脉直径的 1.5 倍。与冠状动脉瘤相关的并发症包括血栓形成、栓塞、破裂、血管痉挛、充血性心力衰竭和感染性心内膜炎。我们报告了一位 63 岁女性，因双侧冠状动脉瘘导致严重心力衰竭。在右冠状动脉中发现巨大冠状动脉瘤，在左冠状动脉中发现迂曲的冠状动脉瘘。双侧冠状动脉瘘手术后症状缓解。